Organization Active NPI

Prentice, PLLC

  • Psychologist
  • Washington, DC
National Provider Identifier
1942765409
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PRENTICE, PLLC
Practice address
1350 Connecticut Ave NW Ste 605
Washington, DC 20036-1735
Phone
(202) 643-4021
NPI assigned
Feb 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erin Peterson, PH.D.
Title
Co-Director
Phone
(202) 643-4021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1350 Connecticut Ave NW Ste 605
Washington, DC 20036-1735

Mailing address

1350 Connecticut Ave NW Ste 605
Washington, DC 20036-1735
Phone (202) 643-4021

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1942765409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 CONNECTICUT AVE NW STE 605",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361735",
            "telephone_number": "202-643-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 CONNECTICUT AVE NW STE 605",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361735",
            "telephone_number": "202-643-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRENTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "202-643-4021",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.